Active NPI
Southern Colorado Imaging Associates, PC
- Specialist
- Alamosa, CO
National Provider Identifier
1922048727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SOUTHERN COLORADO IMAGING ASSOCIATES, PC
- Practice address
- 106 Blanca Ave
Alamosa, CO 81101-2340 - Phone
- (877) 662-4044
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel M Andelman, MD
- Title
- Medical Director
- Phone
- (877) 662-4044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
106 Blanca Ave
Alamosa, CO 81101-2340
Mailing address
PO Box 7693
Loveland, CO 80537-0693
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA4993 | Other | CO | RAILROAD MEDICARE |
| 88879321 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Alamosa, CO
- NPI 1992745715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1922048727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7693",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805370693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BLANCA AVE",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012340",
"telephone_number": "877-662-4044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN COLORADO IMAGING ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "ANDELMAN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "877-662-4044",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA4993",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88879321",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.